Meter Swap �
� " Request Number: 15416
Public works Division
Service Request
Problem Address: 4513 Main St Requested By: Terry
Department: WATER Address: No address provided
ProblemJlssne: INSTALL ANIIL METER P6one Number: 763-226-3296
Scheduled DAte: 2017-05-2Q Scheduled 1lme: 01:30:00
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ACITON NEEDED:
Created by: Beth Kondrick Dsite Created: 2017-05-17
ACTION T.AI�N:
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Status: In Progress Submitter Has Been r _.
Coutacted �
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te Cempleted: Completed by:
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' City of Fridley �
� Water Department � /l� �j
6431 University Avenue NE � ��
Fridley,MN 55432
763-572-3566
��`A/e hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabie for the water fine from the main to the premise and all iMerior
plumbing. (Per City code 402.06) f aiso hold the City of Fridfey and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,waits,floors or the turb stop box and service line. In understand 1 am�Iso required
to obtain a permit prior tn any work,if necessary.
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�#itAl METER READING(old meter) 1
Name: r/� Addcess ��`J �� � ��
Phone Numbe� � Date �� �� +��
Signature Witness Signature
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OLD METE"��J � �
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OLD READING J}V�I. � , � --- - -. _
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NEW METER# I} I�
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NEUV READING��
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� T�° 72355145 �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
, ADMiNiSTRATION
�"' � (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE '�
. Priar to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the `�
application is made,the uwner or contractor shalf be required to obtain a permit for such connecCio�,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shali be notified. It shail be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
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4Q2.06 REPAIRS At11�D MAIAITENANCE TO CONNECTION �`
After the initial connecCion has been made to the water service curb stop box or the sewer lead at the property line or a water servke le�,,
been e�cten de d to t he property line for connection,the applicar�t,owner,or occupant or user of such premises shail be liabfe for ail repairs ' �-:;
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. tf the � owner
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requests mairrtenance service or repairs be performed by the�ty,the property owner sha[!be��ged for the costs of ance and/or
repairs,incfuding necessary street repairs at a rate set annualty by an administrative poliry:�it haR be the responsibility ��Iica�t,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premis�s to the main includi detiris dearing or
root cutting and to maintain the water service curb stop 6ox for operability and at sucN�tteight as wiii ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191) :> _,„,
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